在儿科伪乳头瘤中,周周乳头超反射卵性质量样结构 (PHOMS) 和光盘干
Aliénor Vienne-Jumeau1,2, Pierre Lebranchu3, Inji Akhenak4
1Department of Ophthalmology, Necker-Enfants Malades University Hospital, APHP, Paris, France. alienor.vienne-jumeau@hotmail.com.
概括
光盘干燥 (ODD) 和周周反射性高反射性卵状质像结构 (PHOMS) 在儿科伪乳头 (PPO) 中经常共存. 视网膜神经纤维层厚度随着ODD深度和年龄而变化,为PPO诊断提供了洞察力.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 神经眼科神经眼科
背景情况:
- 在儿童中诊断伪乳头 (PPO) 是具有挑战性的,往往需要侵入性手术.
- 在儿科PPO中,光盘干燥 (ODD) 和周周反射性超反射性卵状质像结构 (PHOMS) 的同时发生和关系尚不清楚.
研究的目的:
- 调查儿科PPO中PHOMS和ODD之间的关联.
- 确定PHOMS和ODD的存在如何影响PPO儿童视网膜神经纤维层 (RNFL) 厚度.
主要方法:
- 一项追溯观察性研究,涉及患有PPO的儿科患者 (<20岁).
- 使用增强深度成像光学连贯性断层扫描 (EDI-OCT) 来评估PHOMS,ODD和RNFL厚度.
主要成果:
- 所有被纳入的患者均表现出PHOMS和ODD (深度或表面).
- 对于深层ODD,RNFL的厚度增加,而对于表面ODD则降低.
- 随着ODD变得更加肤浅,RNFL稀释与患者年龄的增加相关.
结论:
- 在没有其他确定的原因的情况下,在儿科PPO病例中始终发现ODD和PHOMS一起.
- PHOMS可以表明存在深度ODD,这些ODD在幼儿中很难检测到.
- 随着年龄的增长,ODD倾向于表面迁移,伴随着RNFL稀释.
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